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1669805313 NPI number — EMILY A WARNER CRNA

NPI Number: 1669805313
Health Care Provider/Practitioner: EMILY A WARNER CRNA

Information about “1669805313” NPI (EMILY A WARNER CRNA) exists in 1669805313 in HTML format HTML  |  1669805313 in plain Text format TXT  |  1669805313 in PDF (Portable Document Format) PDF  |  1669805313 in an XML format XML  formats.

NPI Number : 1669805313 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669805313",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WARNER",
    "FirstName": "EMILY",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HEREDIA",
    "OtherFirstName": "EMILY",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1505 EASTLAND DR",
    "SecondLineMailingAddress": "SUITE LL1000",
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61701-3534",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "309-663-4700",
    "MailingAddressFaxNumber": "309-665-0575",
    "FirstLinePracticeLocationAddress": "1505 EASTLAND DR",
    "SecondLinePracticeLocationAddress": "SUITE LL1000",
    "PracticeLocationAddressCityName": "BLOOMINGTON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61701-3534",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "309-663-4700",
    "PracticeLocationAddressFaxNumber": "309-665-0575",
    "EnumerationDate": "08/16/2013",
    "LastUpdateDate": "12/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367500000X",
        "TaxonomyName": "Certified Registered Nurse Anesthetist",
        "LicenseNumber": "209010546",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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